Whalio Doctors

NPI 1023397619

Jonathan K Lee, PHD

Practitioner Clinical Psychologist East Greenwich, RI

Practice location

Address
1454 S County Trl Suite 2200, East Greenwich, RI 02818-1627
Phone
(401) 606-4415
Fax
(401) 606-1146
Mailing address
117 Ellenfield St Suite 101, Providence, RI 02905-4513

Registered specialties (2)

Clinical Psychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence PS01485 (RI)
Psychologist
Behavioral Health & Social Service Providers Taxonomy 103T00000X

Registry record

NPI
1023397619
Entity type
Individual
Sex (as registered)
Male
NPI issued
12 Aug 2011
Record last updated
12 Nov 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.